How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $107.15 Typical High $154.88 | Professional | None (both parts) | $102.33 | $107.15 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $44.67 | $46.77 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $58.88 Typical High $95.50 | Professional | TC · Technical part | $57.54 | $58.88 | $95.50 |
BCBS Tennessee Setting Professional Modifier None (both parts) Typical Low $87.10 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $87.10 | $158.49 | $302.00 |
BCBS Tennessee Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $114.82 | Professional | 26 · Professional part | $48.98 | $69.18 | $114.82 |
BCBS Tennessee Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $97.72 Typical High $208.93 | Professional | TC · Technical part | $64.57 | $97.72 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $213.80 Typical High $5,623.41 | Facility | None | $141.25 | $213.80 | $5,623.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $154.88 Typical High $602.56 | Professional | None (both parts) | $93.33 | $154.88 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $41.69 | $61.66 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $87.10 Typical High $524.81 | Professional | TC · Technical part | $51.29 | $87.10 | $524.81 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $3,162.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $630.96 | $630.96 | $630.96 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | TC · Technical part | $2,884.03 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $186.21 Typical High $549.54 | Professional | None (both parts) | $123.03 | $186.21 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $63.10 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $102.33 Typical High $389.05 | Professional | TC · Technical part | $67.61 | $102.33 | $389.05 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | 52 · Reduced service | $51.29 | $51.29 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | 53 · Discontinued | $20.42 | $20.42 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $91.20 | Professional | FX · Film X-ray | $81.28 | $81.28 | $91.20 |
Where Tennessee sits
The same service costs 4.9 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Tennessee· 17th of 51
$214
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.